| NPI | 1609211150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD FARIAS Managing Member 713-576-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |